Real self thread lift reviews

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Thread Lift Treatment

As we age, our skin loses its youthful appearance, and signs of aging become more and more obvious. Fine facial lines and sagging skin are just two aging indicators, but they are important areas to address because these early signs of aging indicate a breakdown of the skin’s tissues. The face and neck areas are common areas of concern, but a thread lift procedure can also be used to address other areas of concern such as sagging buttocks, and wrinkly knees and elbows.


Published: March 19, 2021

Last updated: August 27, 2021

What is a Thread Lift?

A thread lift procedure is a shorter procedure type that focuses on targeting the signs of aging on the lower face and involves subcutaneous placement of PDO threads which are pulled to achieve the desired skin lift effect. Although it can address eyebrow sagging and cheek sagging, thread lift often focuses its attention on midface, jowl, and neck-lifting.

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Julius Few, MD

Chicago, IL

What is the Goal of a Thread Lift?

The goal of a thread lift is to reposition skin tissues, thus restoring youthful proportions and appearances to the face, neck, and body. This lifting and tightening are done by a plastic surgeon who inserts a needle into the skin, threading it bi-directionally through the soft tissues of the face, neck or body to grasp, lift and suspend the facial area. Surgeons use a “cross-hatch” or “basket weave” pattern to achieve the desired lifting effect in the targeted areas. The minimally invasive procedure provides immediate results, but its greater purpose is to encourage new collagen production to stimulate long term results and restore a youthful appearance in the treated areas.

Before Treatment Care for a Thread Lift

Although it is always best to meet with your plastic surgeon to determine the best plan of action for your specific skin type, professionals agree that thread lift candidates should avoid all alcohol and discontinue smoking for at least a week before the procedure as these things will dehydrate the skin and interfere with the anesthetic. All aspirin-based products should be avoided as well as cause unnecessary bleeding leading to unwanted complications and side effects. Blood-thinning products include Ibuprofen, Neurofen, and Naproxen/Naprogesic.

After Treatment Care for a Thread Lift

Some thread lift patients might feel nausea associated with the after-effects of the anesthesia or the procedure itself and can sip small amounts of clear liquids until it passes. It is also helpful, especially if your skin tends to swell or bruise, to ice the area for 30 minutes 4-5 times a day for the first 5 days.

Otherwise, limit facial motion for 24 hours, avoid facial creams or makeup for 48 hours, do not drink with a straw, keep the head elevated (including bending lower than heart-level) at a 45-degree angle for 5-7 days, eat soft foods or drink liquids for 7-10 days, avoid chewing gum for 2 weeks, avoid heavy exertion for 2-3 weeks and avoid pulling down on face or massaging it for 3 weeks.

Pros & Cons of a Thread Lift

Pros - Short procedure - Quick recovery time - Minimally invasive

Cons - Not as effective as other methods - Does not address excess skin - Lower success rate

Expected Results from a Thread Lift

The majority of people will notice minor immediate results directly after receiving a thread lift. As the face heals, new collagen forms in the treated areas creating a more obvious difference. While the results are more long term than some of the other facial rejuvenation options, such as surgical facelifts, the results are temporary and it is necessary to receive maintenance treatments every 6-12 months, depending on your specific age-reversal needs.

Texturized threads will achieve results more instantaneously than the smoother threads; however, it is important to remember that each thread type aims at producing collagen over a longer period, which is the overall goal of a thread lift procedure.

Most of the side effects of a thread lift occur in the first 24-48 hours after the procedure takes place, and will often resolve quickly. Some of the potential problems take a few weeks, or possibly even months, to resolve. These potential side effects include infection, bruising, swelling, tenderness, numbness, and slight asymmetry (small unevenness). Sometimes a suture will show itself just below the skin, as well.

Technical Description of a Thread Lift

Before a thread lift begins, patients will receive local anesthesia in the area where the thread-lifting will be performed—the midface, jowl or neck. A plastic surgeon then inserts a pre-threaded needle into the subdermal level of the facial tissues, which simply means that the needle will go underneath the visible layer of skin. The needle is inserted in a curved direction into the area to be lifted. Directly above this first needle, a second needle will be inserted approximately 1-1.5cm above the existing needle.

The purpose of each needle is to insert bi-directional threads into the targeted areas. These threads are made of polypropylene and are often referred to as PDO threads. The procedure itself is often called a PDO thread lift. The most widely-known PDO threads are Novathreads, but your plastic surgeon may prefer to use another type. PDO threads are equipped with small barbs along the surface that act as cogs (small gears or mechanisms) to grasp, lift and suspend the facial area undergoing treatment. As the needle is slowly withdrawn, it creates a suture lift causing the tissue to “gather” over the thread until the desired effect is achieved and the long ends of the thread can be cut off.

New collagen and fibrous tissue forms around the PDO sutures and continues to hold up and tighten the skin tissue. This growth happens to help naturally heal the treated areas, but because there are threads in place, new growth will take place around the threads in the repositioned areas. This achieves the longer term results a thread lift offers.

There is no need to worry that threads are left underneath the skin. They facilitate the new growth and dissolve completely on their own, without leaving residual material, in about 6 months through a natural process called hydrolysis. Hydrolysis is painless and simply refers to a chemical breakdown caused by a reaction with water. After the threads have dissolved, the new collagen and fibrous tissues will have already formed in the treated areas and will continue to show a lifted effect, restoring youthfulness to the area.

Recovery from a Thread Lift

A thread lift requires very little recovery time because of its non-invasive nature, but it is still helpful to have a basic idea of when you can expect to return to normal living. The following list provides an idea, but you should always follow your surgeon’s instructions if they differ in any way from what is listed here.

When Can I Start Working Again? This depends on your job type and environment. You should expect to return to work within 1 day to 1 week of your treatment, but that will vary from job to job. A job that doesn’t require a lot of activity could be resumed in 1-2 days. A more strenuous job or a job that requires a lot of movement and activity, such as nursing or personal training, would require more time off.

When Can I Shower? You should refrain from washing, wetting and touching your face or the treated area for at least 12 hours after your procedure. Once you do start showering and cleansing the area, be careful not to massage or scrub with a washcloth for 3 weeks after your thread lift.

When Can I Resume My Regular Skin Care Routine? You can gently resume a basic wash, dry, lotion routine about 48 hours after your thread lift, but avoid any type of scrubbing, tugging or exfoliation, and check with your surgeon before applying any prescription strength creams or topical medications.

When Can I Wear Makeup? After waiting 48 hours after your thread lift, you can apply makeup as needed. Makeup will help cover any remaining bruising.

When Can I Exercise Again? You can resume light forms of exercise, such as walking, 1 week after the thread lift, but be careful to avoid any exercise that strains the treated area. Weightlifting, for example, should be avoided until you are cleared by your surgeon. Yoga, which requires your head to be below your heart, should be avoided for 7 days.

When Can I Have Sex? Sex and exercise have very similar rules. You can resume light sexual activity about 1 week after most thread lift procedures, but it is determined by the area that was lifted. If your thread lift was performed to lift the buttocks, you will need to wait much longer than if your thread lift treated your marionette lines. You should ask your surgeon for specific guidelines to follow.

When Can I Go Swimming? You are not advised to wet your face for 12 hours after your thread lift, but before swimming, it is better to wait until the suture site has completely healed. Follow the same guidelines for hot tubs and saunas.

How to Choose the Right Surgeon for Your Thread Lift

Choosing the right plastic surgeon to do your thread lift might seem like a daunting task, but there are ways to assure that you choose the best possible fit for your specific needs. As a unique individual, you will want to select a surgeon that not only has the right background, but also the surgeon that you feel most comfortable selecting. Any procedure is personal and you should take care in selecting the right fit for you.

Some important things to consider include:

  • Review the plastic surgeon’s education, training, and credentials

  • Check Board Certifications and FDA approvals

  • Consider the surgeon’s level of experience (ex: How often has the surgeon you’ve selected performed a thread lift?)

  • Examine the before-and-after pictures of other thread lifts done by the surgeon

  • Evaluate the proposed treatment plan, including where the procedure will take place, the type or brand of equipment that will be used, and any other questions you may have related to the thread lift

  • Understand the specific technique the surgeon intends to use

Some important questions to ask during a consultation:

  • Am I a good candidate for a thread lift procedure?

  • Why should I consider this procedure over another procedure (insert the other procedure(s) you might be considering?

  • What will be expected of me to achieve the best results?

  • What happens if I am not satisfied with my results?

Risks and Complications of a Thread Lift

As with any procedure you might choose to undergo, some risks and complications might arise, and it is worth it to educate yourself before determining if a procedure is right for you.

A thread lift is a newer procedure whose techniques are still being improved upon and developed. Although rare, patients may experience such things as infection, sensitivity or numbness, PDO suture movement, slight asymmetry, scar tissue, visible sutures or unnoticeable results.

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Thread Lift Vs Facelift

Thread Lift vs. Facelift: Which Is for You?

Portrait of beautiful healthy happy smiling mature woman with curly hair When it comes down to correcting facial aging, you have many options ranging from non-invasive to minimally invasive to an actual surgical procedure. While all of these techniques aim to restore youthfulness and rejuvenate the face, the results they offer are not equal, and therefore the procedures should not be considered interchangeable. This is especially important between thread lift surgery and facelift surgery.
Both the thread lift procedure and facelift surgery improve sagging skin on the jowls, cheeks, and neck. However, while these may treat similar signs of aging, they are not substitutes for each other, and the difference between these go far beyond the fact that one is minimally invasive and the other is surgery. While both of these procedures can leave you feeling younger and revitalized, each is distinctively designed for specific candidates. The hard part is determining which may be right for your level of facial aging.

What Is a Thread Lift?

The Silhouette InstaLift™, also called a thread lift, improves the appearance of facial sagging and visible signs of aging with the use of dissolvable surgical threads. These threads work to “lift” the underlying tissues of facial structures that have been impacted by gravity and the loss of collagen. Once these threads are inserted and anchored, collagen production is stimulated, which allows for lasting results. The Silhouette InstaLift™ is non-surgical, minimally invasive, and provides natural-looking rejuvenation of your cheeks, jawline, and neck. We like to tell patients that you will get about 25 percent of the result of a surgical facelift with a thread lift.

How Does Facelift Surgery Differ?

Unlike the Silhouette InstaLift™ that uses the insertion of threads to mildly lift and tighten the underlying muscles, facelift surgery removes excess skin on the lower to midface while significantly tightening the muscles. Facelifts restore a more youthful appearance and can noticeably improve sagging jowls, vertical banding on the neck, and loss of volume in the midface. There are several levels of facelift surgery available depending on your needs. These range from the “mini-lift” that focuses on early signs of aging in the jowls and lower face to the “deep plane lift” that provides extensive rejuvenation of the jawline, jowls, midface, cheeks, and neck.

Which Procedure Are You a Candidate for?

Both of these procedures are suited for those in good physical health with realistic expectations. Candidates who have noticeable and significant aging indicators such as extensive sagging, deep creases, jowls, and drooping skin under the chin are likely best suited for facelift surgery. While the Silhouette InstaLift™ will subtly reverse the early signs of aging, it cannot reach the same level of correction of traditional facelift surgery. The Silhouette InstaLift™ is typically ideal for younger patients experiencing the onset of facial aging and skin laxity. These patients are those who wish to delay the need for surgery and want to combat the signs before they worsen. This procedure is also best for patients who have already undergone facelift surgery but require a “touch-up” due to further skin laxity.
Dr. Pearlman is a facial plastic surgeon who has been in practice for almost 30 years. When it comes to the face, for both surgical and non-surgical facial rejuvenation, you should trust your face to a facial plastic surgeon. Contact our office at 212-223-8300 to schedule a consultation to see what facial rejuvenation treatment would be best for you.

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Everything You Want to Know About a Thread Lift Procedure

Fast facts


Thread lift procedure is a minimally invasive alternative to facelift surgery. Thread lifts claim to tighten your skin by inserting medical-grade thread material into your face and then “pulling” your skin up by tightening the thread.


Thread lifts are considered a low-risk procedure with minimal recovery time, but side effects of redness, bruising, and swelling do occur.


This procedure can be performed in about 45 minutes, and, if you want to, you can go right back to work afterward. Finding a trained, licensed provider is the key to a safe, effective thread lift.


A thread lift is less expensive than a traditional facelift, but it’s not covered by insurance. Costs vary according to many factors, but the average cost is around $2,250.


Thread lift procedures aren’t as dramatically effective as facelifts, and studies on their long-term efficacy are lacking. Results from a thread lift last from 1 to 3 years. For best results, surgeons recommend combining a thread lift with other kinds of anti-aging procedures, such as ultherapy.

What is a thread lift?

A thread lift, also called a barbed suture lift, is a cosmetic procedure that aims to lift and sculpt the shape of your face or breasts. Thread lifts use temporary, medical-grade suture material to “stitch-up” your skin so that it’s drawn taut.

Thread lifts have been around , but innovations in the material used for thread lifts have led to an increase in popularity in recent years.

The typical candidate for a thread lift is in their late 30s to early 50s. A person who is generally in good health and is just starting to notice the signs of aging may benefit the most from the subtle impact of a thread lift.

Those who can’t have a surgical facelift because of medical conditions that make general anesthesia risky may consider a thread lift as a safer alternative.

How much does a thread lift cost?

The costs of a thread lift will vary widely according to where you live, how much experience your provider has, and how many areas you are going to target with your treatment.

One calculated that a thread lift typically costs 40 percent of what a traditional facelift would cost. According to self-reported costs on, the average cost of a thread lift in the United States is $2,250.

Your forehead, jowls, under-eye area, and eyebrow are all parts of your face that can be considered for a thread lift. You can choose to target just one area or several at once, increasing the cost. A thread lift used to draw up and tighten the breasts may be more costly.

Thread lifts don’t require general anesthesia, so you save money on the cost of sedation. You also don’t have to consider taking recovery time off from work. Recovery is minimal — it can even be done on your lunch break.

Your plastic surgeon may recommend that you get additional therapies or cosmetic procedures such as Botox or Juvederm to boost the effects of your thread lift. Make sure that you’re aware of any costs associated with these procedures.

How does a thread lift work?

The thread lift procedure works in two ways.

The first is fairly straightforward. By threading thin, dissolvable sutures underneath your skin, your doctor is able to pull your skin tight around your forehead, neck, or torso.

Invisible, painless “barbs” grab on to your skin and make sure that the thread grips your underlying tissue and muscles as the thread is pulled tight.

Once a barbed thread is inserted, your body’s healing response is triggered. Even though you’re not injured by the threads under your skin, your body detects a suture material and stimulates collagen production in the affected area. Collagen can fill gaps in sagging skin and restore a more youthful elasticity to your face.

A small 2017 suggested that the primary effect of a thread lift procedure is skin appearing tighter and more structured. After a year, this effect begins to decrease as the sutures dissolve. However, there was a secondary “rejuvenation” effect that stayed in place and was noticeable 3 years or more after the procedure.

A 2019 of the literature concerning thread lifts concluded that more research was needed to understand the long-term effects of them, as technology and methods of providing thread lifts continue to evolve.

Thread lift procedure

The procedure for thread lift may be slightly different depending on the area you’re targeting as well as your provider’s preferences. The basic technique is usually the same.

  1. You’ll be asked to recline in the room where your procedure is being performed. Alcohol, as well as topical anesthetic, will be applied to your skin as it’s prepped for surgery.
  2. A thin needle or cannula will be used to insert the threads underneath your skin. Inserting the threads can take 30 to 45 minutes.
  3. After the threads are inserted, the method of insertion will be removed. You may feel light pressure or tightening under your skin.
  4. Within a few minutes of the needles being taken out, your procedure will be complete and you’ll be free to go home.

Targeted areas for a thread lift

Many people choose a thread lift for facial areas that “sag” or look less tight over time. These areas include:

  • jowls and jawline
  • brow line
  • under-eye area
  • forehead
  • cheeks

Thread lifts are to lift and tighten breasts, especially after pregnancy and weight loss.

Are there any risks or side effects?

A thread lift is considered a low-risk procedure, but there are side effects and a risk of complications.

After a thread lift, it’s not uncommon to experience the following:

  • bruising
  • swelling
  • bleeding
  • slight pain at the site of the thread injection

There’s a 15 to 20 percent chance of complications, including dimpling. Possible complications are minor and can easily be corrected.

Complications to look out for include:

  • allergic reaction to ingredients in the threading material
  • bleeding as a result of the procedure building up behind your skin
  • visible dimpling or pulling where the threads have been inserted
  • migration or unintended “movement” of the threads that result in skin that looks lumpy or bulges
  • pain under your skin as a result of the thread being too “tight” or awkwardly placed
  • infection at the site of the procedure

Of all the risks of a thread lift, infection is the one to watch out for most carefully. Call your doctor right away if you notice:

  • green, black, brown, or red discharge at the site of your procedure
  • swelling for more than 48 hours
  • persistent headaches
  • fever

What to expect after a thread lift

Recovery after a successful thread lift is quite minimal. While there may be some visible swelling and bruising, you can go back to work right away if you’d like.

Results should be apparent right after the threads are put into place, but you may notice more in the days and weeks right after they are inserted, as swelling and bruising starts to subside.

Results from a thread lift aren’t meant to be permanent. Successful effects typically last from 1 to 3 years. Like other dissolvable dermal fillers, such as Botox, the threads used in the procedure will eventually be absorbed by the tissue underneath your skin.

After a thread lift, you can resume your normal routine. Your provider may advise you not to rub your face vigorously and to avoid sleeping on your side in the initial weeks following the procedure.

The American Academy of Plastic Surgeons advises that you skip your daily moisturizer for the first few weeks after a thread lift, and sleep with your head propped up to avoid rolling over onto the newly placed sutures.

You’ll also be advised to avoid saunas and high intensity workouts for the first week or so after the thread lift is performed.

Preparing for a thread lift

After consulting with your provider and booking your appointment, you may be given some guidelines for do’s and don’ts to prepare for your thread lift.

Thread lift vs. facelift

A thread lift won’t give you the same dramatic results as a surgical facelift. If you’re considering investing in this procedure, it’s important to have realistic expectations.

A thread lift is also not permanent. A facelift can’t stop the process of aging completely, but the results last many years. The subtle results of a thread lift usually last around 2 years.

To make the results last longer, you may need dermal fillers or other therapies that cost additional time and money.

On the other hand, the risks of complications with facelift surgery are much higher. If you don’t like the results of a facelift, there’s not much you can do except have another invasive procedure. If you don’t like the result of a thread lift, you can simply wait for the threads to dissolve.

A thread lift is less expensive than a facelift. You can go right back to work after having it done, and the recovery is minimal.

If you’re noticing signs of aging in your jawline or under your eyes, a thread lift is a low-risk way to see how a more permanent procedure might look.

How to find a provider

Finding a licensed, trained provider is very important if you’re considering getting a thread lift. Possible complications are far less likely with an experienced surgeon.

You can find a provider in your area by using the American Academy of Plastic Surgery’s search tool.

THREADS FOR FACE LIFT. What complications of thread lifting can be. MEZOTHREADS

How reliable are online reviews for plastic surgery?

online reviews for plastic surgery

Patients often choose their plastic surgeon based on online reviews. At their best, reviews reflect real patients' honest experience with a doctor, staff and sometimes the hospital or facility where the care was delivered. While a doctor's website is often reliable, there is nonetheless the potential for bias, so patients often rely on online reviews to offer "social proof."

In fact, looking at online reviews is the first step in choosing a physician for nearly three out of four patients. Among those with a solid referral to a doctor, one in five patients validates that recommendation through online reviews.

Online reviews developed out of a lack of available and transparent information about choosing doctors. Now patients can use Google, Yelp, RealSelf, Facebook, Healthgrades, Vitals, RateMDs, Vizium 360 and RateMDs to check out their surgeons. The type of surgery they perform will impact their presence on review websites.

Private practitioners, particularly those performing cosmetic plastic surgery, are most likely to be reviewed on Google and Yelp. Academic reconstructive surgeons and those employed by an HMO are least likely to have any online reviews.

Google, Facebook and Yelp are the top three consumer reviewer websites, but their popularity varies by geographic region. They are most likely to feature cosmetic practices. Vitals and Healthgrades are more likely to feature reconstructive and other insurance-based physicians.

Overview of review websites

As you explore your potential online reviews, you should be aware of the nuances of each website.

Google: Unless a user has a Gmail account under a pseudonym, cosmetic patients may be less likely to post a review, than, say, a skin cancer patient, so this can limit the number of patients voicing their opinions about a practice.

Facebook: Like Google, patient reviews are not anonymous unless the reviewer has an account under a pseudonym, there is no verification process, so anyone can leave a review.

Yelp: Yelp requires a reviewer to post under a first name and the first letter of the last name. Yelp hides reviews, and has been sued over this practice, but the courts have determined that that is their right. Since the reviews hidden are often positive, the result may be a negative slant on a good plastic surgical practice. Physicians advertising on Yelp have greater visibility.

RealSelf: RealSelf is a healthcare marketplace restricted to aesthetics, breast reconstruction and facial reconstruction. RealSelf verifies that reviewers are true patients, so they are allowed to post anonymously under a pseudonym. For a monthly fee, RealSelf boosts all of the doctor's content.

Vizium360: Vizium360 is a patient experience management tool paid for by the plastic surgeon. Only verified patients write the reviews.

Healthgrades and Vitals: Both of these websites focus is on healthcare, not plastic surgery. Patients can post anonymously.

Review sites are businesses

Review companies can help patients, but they are businesses that often charge doctors for greater visibility. The 2019 documentary "Billion Dollar Bully," shows the darker side of how Yelp operates.

Reviews written by patients who are paid to do so in some way are considered tainted by the industry, as are reviews written by a plastic surgeon's staff or family. Review companies know that patients are looking for the opinions of unbiased, uncompensated patients without a personal or working relationship with the doctor. This is not always the case, however, because those relationships are hard to discover.

Positive Reviews: If a surgeon has a lot of reviews, look at common themes among reviewers. Are patients happy with their results? Does the staff answer the phone? Do patients feel cared for?

Negative Reviews: Not all negative reviews are based on a real patient experience. Disgruntled ex-employees, competitors and online reputation management companies looking for business may be the ones leave a one-star review. The most important factors to patients leaving reviews are surgical outcome, interactions with staff and the quality of their care after surgery. The cost of surgery doesn't seem to impact patient satisfaction.

What's next?

Now that you know what you look for in plastic surgery reviews, you can use Plastic Surgery Connect service to find a board-certified plastic surgeon in your area.

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

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Reviews real self thread lift



THREADS: Threadlift is fast gaining popularity as a lunchtime quick fix, without the downtime of a surgical facelift. It helps doctors create a tighter face and sharper V shape contour in our patients.

Silhouette Soft threads are the rage in Europe and US. They are made of PLLA material.

PDO threads are the rage in Asia, originating from Korea.

Both have their pros and cons.

If you are wondering about these 2 options, here’s some information for you to digest.


Via an immediate lifting and progressive tightening.

  1. Support: An immediate lift through repositioning and anchoring soft tissue
  2. Biostimulation: Regenerative action with collagen stimulation for progressive volumisation and natural firming and tightening over 3 to 6 months.


They are made of 100% absorbable and bio-compatible material, similar to those used in surgery. 2 common materials exist.

  1. PDO Threadlift: Polydioxanone material is commonly used as a surgical suture, and tends to last on average 6 months. These are the basic Korean threads, though differ brands differ in terms of design (monos, barbs, cogs, multi etc).
  2. Silhouette Soft PLLA : Poly-L-Lactic Acid material are also used as surgical sutures, and have greater longevity than PDO, averaging 12 months. Hence they can potentially stimulate collagen for a longer duration.Once dissolved, the material breaks down into glucose, carbon dioxide and water.


In my personal opinion, here are 3 key points.

  1. PDO Threadlifts are superior for soft tissue Lifting. The instant and immediate lift is often tighter.
  2. PDO Threadlifts are superior for Nose Lifting. Koreans are the inventors of the HIKO Noselift, which uses PDO threads.
  3. Silhouette Soft threadlifts are superior for volumization. The cones compress soft tissue together nicely.


埋线/ Threadlift / V-lift / 瓜子脸




埋线/Ultra-V-Lift – PDO Threadlift full-face


  1. No surgery.
  2. No cutting.
  3. No stitching.

There is no cutting of skin, stitching of skin layers. Based on individualised facial vectoring, absorbable ultra-fine threads are placed under the skin with minimal downtime which are explained below.


Patients with mild to mild-moderate saggy skin with reasonable expectations.



PDO threadlift vs silhouette soft


how PDO threadlift work



how PDO threadlift work


3D Ultra V Lift – PDO Threadlift

What to expect with PDO, PLLA threadlift? 


Immediate: Your skin is immediately lifted as the threads lift soft tissue to its new position. You may look and feel slightly tighter than the final result.

1 week later: You will start to look and feel more natural.

3 months: Skin rejuvenation peaks. You will notice improved skin texture, smoother and firmer skin.

6 months: PDO threads would have dissolved, but the results still persists for many more months.

Recommendation : I recommend LIGHT touchups 6 months after the initial treatment, to allow for a long lasting result of up to 2 years.


What are the risks with PDO, PLLA Threadlifts? 

Depending on your skin quality and thickness, there may be temporary swelling, bruise and skin changes (puckering, visibility, bump). All these resolve with time.

RISKS from Thread Lift
Temporary soreness, especially when opening mouth wideProlonged skin dimplingInfection
Temporary swellingSkin irregularitiesNodule formation
Temporary bruisingThread displacementNerve injury
Temporary skin dimplingProlonged achingSalivary gland injury


Bruising post PDO  Threadlift


PDO Threadlift – Example of skin dimple (Case study from American Society of Plastic Surgery)


Here are the facts.

  1. PCL (Polycaprolactone) thread tends to dissolve after 24 months
  2. PLLA (Poly L Lactic Acid) thread tends to dissolve after 12 months
  3. PDO (Polydioxanone) thread tends to dissolve after 6 months

In theory, longevity sounds like a good thing, but this has a minus on the safety and efficacy profile.

Side effects tend to persist longer with PCL and PLLA threads, examples include skin irregularities like dimples, bumps. In addition, studies on efficacy are still limited. Claims of results lasting more than 2- 3 years are unsubstantiated.

Disclaimer: The material contained in this is for informational purposes only and do not constitute medical advice. The content is not intended to be a substitute for doctor’s advice, diagnosis, or treatment.
Thread Lifts - PDO Threads- Are they worth it?

What You Should Expect With A Thread Lift

Are there any clinical studies?

There was a study published in JAMA Facial Plastic Surgery in 2009, that did a retrospective review of 33 patients who had a traditional thread lift. 23 of the patients had a thread lift combined with other facial rejuvenation procedures and 10 others had only a thread lift. There were also 10 control patients who had skin rejuvenation without a thread lift. The study followed the patients for a mean of 21 months. Independent, blinded, board-certified facial plastic surgeons evaluated pre and postoperative photos and compared the patients' results.

What were the results?

  • All the patients had improvement at 1 month.
  • All the patients had measurable results through the end of the study - EXCEPT the patients who had ONLY a thread lift.
  • People who had skin rejuvenation procedures without a thread lift got significantly better results than the people who only had a thread lift.
  • People who had a thread lift combined with other skin rejuvenation procedures got significantly better results than the people who only had a thread lift.
  • The authors concluded that the thread lift alone gave only short term improvement. They felt that thread lifts weren't as effective because they only superficially repositioned the soft tissues without addressing excess skin or adding volume.

Conclusion:  Thread lifts have higher patient satisfaction and better outcomes when they are combined with fillers, radiofrequency, fractional lasers, and neuromodulators (like Botox). So barbed threads can be combined with fillers or fat grafting to add volume to the face. And radiofrequency or micro-needling can help to tighten excess skin and reduce wrinkles after a thread lift. There are lots of possibilites!

So are doctors recommending combining a thread lift with another skin treatment?

Thread lifts alone can't fix excess skin or a loss of facial volume. In order to get the very best result, doctors do combine the thread lift with other skin treatments.

Dr. Few often combines thread lifts with other treatments in his own practice:

“Used alone, results can last up to 18 months. But we often use the absorbable suture lift in combination with fillers, lasers and other nonsurgical facial treatments to create a ‘stackable treatment.' The results are expected to last several years when combined with other treatments and wear off gradually.”

These new, absorbable thread lifts are another great option for skin rejuvenation. As more medical providers offer this treatment and gain experience, I would expect the results to get better and better - especially when combined with other treatments! Thanks for reading! And good luck!


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I Had A Thread Lift (And Here’s What Happened)

It’s no surprise that after more than a year of video conference calls, many of us have started to analyse – and criticise – our appearance more than ever. Never before have we been in a position where we’d be staring at our own faces for hours on end through the lenses of our laptops and smartphones, subsequently noticing flaws that may not have bothered us quite as much pre-pandemic.

Following lockdowns around the world, aesthetic doctors and plastic surgeons reported a huge surge in bookings for both surgical and non-surgical treatments. The British Association of Aesthetic Plastic Surgeons (BAAPS) reported a 70% increase in requests for virtual consultations with their doctors during this period, as patients continued to consider procedures they’d be able to get once they could see their surgeon face to face again. A recent survey by the American Society of Plastic Surgeons, meanwhile, showed that 64% of its doctors had seen an increase in virtual consultations since the start of the pandemic.

Known as the ‘Zoom Boom’, as we focus more and more upon our appearance in this altered reality, ‘lockdown face’ has become a genuine thing. Driving interest in non-invasive facial procedures (think: Botox, fillers, or skin resurfacing) that correct lines caused by the facial expressions we notice on video calls as well as to tackle wrinkles, there’s also been a surge in demand for neck rejuvenation and jawline contouring as people spend more time looking down into their computer’s camera and focusing on those areas of their body.

And it turns out, I’m not immune to the phenomena either. Just like millions of others out there, I too began to wonder, ‘Is it just that the camera on my laptop is positioned at a really, really unflattering angle? Or do I actually look this old and haggard in real life?’

I’m not the kind of girl to fixate on my flaws – life’s just too short. But even before lockdown hit, I’d been concerned that my jawline was not looking as firm as it used to, my cheeks were a little hollowed, and I was starting to develop jowls. Jowls! Actual jowls! What was happening to me? Was I at the top of the slippery slope to middle age? Because I simply wasn’t ready or willing to be there, thank you very much.

Having always been a fan of radio frequency treatments to lift the skin – they really do make a difference – I began to wonder if there was something longer-lasting that had an even better effect, but wasn’t a facelift. It’s something I’d hoped wasn’t required for at least another decade or two, but what to do about this newly sagging jaw? Not just put up with it, that’s for certain.

Thankfully, there was something I could do to address the problem: a  thread lift. Developed to fill the gap between non-invasive facial rejuvenation and a facelift, a thread lift is a non-invasive procedure where temporary sutures are inserted using a special needle, producing a subtle but visible ‘lift’ in the skin. Instead of surgically removing loose facial skin, it is simply suspended by stitching up portions of it, pulling it back slightly, and lifting and tightening the face. Ideal for reversing skin laxity around the neck, jowls, cheeks, and eyebrows, the procedure is done under local anaesthesia, takes between 30-45 minutes, and gives an immediate lifting effect. With some chance of bruising or dimpling and swelling – all of which will start to subside after roughly three days – downtime is minimal. In fact, you can resume normal life pretty much straight after the procedure – hence its moniker ‘The Weekend Lift.’

There are many types of threads that can be used in a thread lift: permanent threads, made of polypropylene, which were used initially but lost popularity with time due to the high rate of complications associated with their permanent nature; PDO threads, made of polydioxanol, which usually dissolve within three months; PLLA (Poly-L-Lactic Acid) threads, which last around 12 months and build more collagen around them; and finally PCL (poly-caprolactone) threads, which last anywhere between 12 and 18 months. 

Threads can be used for all types of skin. However, the number of threads used will differ from one kind of skin to another, depending on its thickness and the strength of pull needed. The absorbable threads currently being used for this kind of procedure are very safe since they are easily absorbed by the body and, in the process of doing that, will form a layer of collagen fibres around them, improving the skin quality and firmness of the area even after the threads are absorbed.

This makes a thread lift a two-pronged anti-ageing attack. In addition to lifting the skin, it provokes the body’s ‘healing response’ and causes the body to direct large surges of collagen to treated areas, which in turn plumps the skin, making it look healthier and younger.

Providing ongoing and progressive rejuvenation for the facial tissues, a thread lift offers a gradual improvement to the skin’s tone and firmness. While the threads are in place, the body’s healing response will be constantly activated because it wants to ‘heal’ the sutured areas and expel the sutures – something it’s biologically programmed to do when it senses any foreign object present within the dermis. 

While a thread lift is not a replacement for a facelift or even a mini-facelift, it’s is an extremely effective procedure for those who are starting see the effects of gravity and dwindling collagen production that results in skin laxity and sagging – i.e. someone like me. The vastly reduced recovery period (five days as opposed to the intensive recovery period that follows a full face lift) is just the proverbial cherry on top.

They’re also low risk, thanks to how non-invasive they are, with virtually no risk of scarring, severe bruising, bleeding, or other complications. In rare cases, patients may experience irritation or infection. And in some cases, sutures may become visible under the skin, but if this happens, they can simply be removed – the patient’s face will return to its prior state. And since thread lifts are much easier to perform than facelift surgery, they’re much more affordable, making them a great interim procedure if you’re planning to have a facelift in years to come, but haven’t quite decided yet.

Obviously, a thread lift isn’t something to be undertaken without major investigation, so after doing a lot of research and digging for personal recommendations, I booked in for a consultation with Dr. Dany Kayle – a renowned, Dubai-based plastic surgeon who has performed thousands of successful procedures over the course of his career and been dubbed ‘King of the Thread Lift’. And while I’m not one to be lulled into a false sense of security by catchy nicknames, I can attest that Dr. Kayle’s glittering reputation as a master of surgery with exceptional pre- and post-care is more than warranted. 

Watch The Video: The Lowdown On Lucy’s Thread Lift


Literally nothing. Just clear my (incredibly empty) social diary of anything for the next five days while the swelling and any bruising subsided. With that in mind, the fact that we have to wear a face mask almost all of the time makes the premise of venturing out more bearable whilst you recover – one of the few silver linings of this dismal time we’re living in. 


You’re given local anaesthetic in your face and, if you’re having fat injections as a filler too, the area from which the fat is being taken. Once that kicks in, I can honestly say you’ll feel nothing. You’ll be aware of what’s happening, of course, and feel a sensation of movement – but that’s all. It’s a very peculiar thing to know that you’re having some pretty major things done, and (kind of) see it happening, but not feeling the process. From the first part – the liposuction, for all intents and purposes – to the insertion of threads, fat injections, and finally botox, there’s a lot going on. I still didn’t feel a thing. Anaesthetic is awesome.


Not as bad as I thought I was going to look! Obviously, my face was pretty swollen, but the immediate lifting and tightening effect was remarkable. I knew that the swelling would go down eventually, so the initial panic over my very puffy face was fleeting. I looked weird, admittedly, but I’d just had wires and syringes full of fat inserted into my face, so it was no wonder I wasn’t looking quite as I had a few hours prior. 


Much like after you’ve had an injection at the dentist – my lips felt rather tingly once the feeling started to return to my face. Eating and drinking just isn’t possible, though. I attempted to have a cup of tea once I got home, and may as well have just poured it directly down my top. 


Dr Kayle had advised me to sleep on my back and place pillows on either side of me to minimise the chance of rolling onto my face in the night, which worked a treat. In the morning, my face felt a bit sore, and I occasionally felt a twinge close to my ears where the thread was inserted when I spoke or smiled, but that was about it. There was literally zero bruising to be seen, which was amazing. I did look really puffy and swollen though, and when I smiled, it definitely was not the smile I usually see. Because of the fat injections, the area between my lip and nose looked noticeably different, making me look a bit simian. Oh, and my cheeks were really pronounced. I had a minor wobble looking in the mirror for the first time – the dreaded what-have-I-done fear set in. But a rather panicked WhatsApp message to Dr. Kayle later, I was reassured that this was entirely expected and would soon subside. I just had to give it time.

What was definitely the most uncomfortable thing was the area surrounding the incisions where fat had been taken. The incisions are very small, but they will seep liquid for a couple of days afterwards and, since it’s been subjected to a lot of unusual activity, it’s no surprise that your thighs feel rather sore. But nothing horrific. My bum was a little bit bruised, but that was to be expected. After a couple of days, it was all back to normal.

Watch The Video: The Results Of Lucy’s Thread Lift


After five days, I started to look a little less like I’d been in the ring with Connor McGregor, and a little more like myself. Almost all the swelling had gone after two weeks, and I could clearly see the effects of the threads and fat injections kicking in. My skin was literally glowing – a combination of the fat plumping out hollows in my cheeks and the fact that the threads boost collagen production. The trauma encourages the body to make more collagen to heal the area. And aside from the occasional twinge under the skin close to my ear, there was no pain at all. In fact, I’d go as far to say I’ve had bikini waxes that were more painful than this entire procedure.  


So the ultimate test: coffee with a friend who I hadn’t seen since last October. In between sipping her post-yoga latte, she asks, ‘What skincare are you using at the moment? You look 10 years younger!’ SUCCESS! The fact that my skincare is the same as it was when I saw her last confirms that having a thread lift was absolutely the right decision. The imperceptible enhancement has made me look like myself, only better – and thrillingly, younger, according to my coffee-drinking companion. Did I tell her what I had done? Of course! What kind of friend would I be if I didn’t share the secret behind my newly improved face?


100%! I’ve always known that I’ll want a facelift when the ravages of time can no longer be solved with a quick-fix tweakment, but when you’re not quite ready for one and need to put the brakes on gravity, a thread lift works wonders. Of course, it helps to go to the best in the business – Dr. Kayle was fantastic from start to finish. 


I really am. There were times when I was genuinely worried that the swelling was not going down, but much like I over-scrutinised myself on those Zoom calls, I was doing the same here. Once the swelling had subsided, my face looked exactly as it did before – 10 years ago. The contours look lifted, the sagging around the jowl area is no longer the first thing I notice, and my skin looks plumped and radiant. I’m thrilled to bits.


Absolutely. As the halfway house between short-term lifting treatments and an actual facelift, this gives excellent results and lasts for anything up to two years. The lift – both literally and metaphorically – has been immense, boosting both my self-esteem and overall mood. The feeling down in the mouth in every sense of the term is something that truly has disappeared. As far as making me feel better about myself and winding back the clock a few years, this thread lift has been a total game-changer. 

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